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Can an anal abscess look like a pilonidal sinus? Can pilonidal sinus/pilonidal abscess occur not on skin but on anus itself?
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I am sorry to hear about your concern but will be happy to assist you. The main distinguishing feature compared to a perianal fistula is that a pilonidal sinus does not communicate with the anal canal; if there is any uncertainty on initial inspection, a rigid sigmoidoscopy or mri imaging can be performed to assess for any internal opening of a tract. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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